Original Research Article
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 98-103
A Study on Pattern of Pap Smear Abnormalities With Respect To Age: Screening For Cervical Cancer
Thushara K1, Rupashree S2
1Post Graduate Student, 2Associate Professor,
Department of Pathology, Shimoga Institute of Medical Sciences, Shivamogga.
Corresponding Author: Rupashree S
ABSTRACT
Introduction: Cervical cancer is a significant cause of mortality in women worldwide. If precancerous stages are identified early and treated it is a preventable disease. A pap test is a simple, easy, painless procedure which can be carried out as an outpatient procedure to detect specific, nonspecific inflammations, precancerous and cancerous lesions.
Objective: To study the Pap smear abnormalities with respect to different age group.
Materials and Methods: Total of 923 pap smears received in the department of pathology Shimoga institute of medical sciences, Shivamogga from 1st January to 31st December 2018 were analyzed and reported according to Bethesda Classification System (2014).
Results: Out of 923 cases majority were in the age group of 31-40 years (37.38%). Most common lesions reported were Inflammatory smear (53.09%). Overall epithelial cell abnormalities were 41 cases (4.12%) out of which LSIL (1.95%) was the most common followed by ASCUS (54.5%) which were predominant in the age group of 41-50years. One case of LSIL was present below the age of 20 years. HSIL and SCC were more commonly seen in older women in the age group of 51-60 years (42.8% and 66.7% respectively).
Conclusion: Cervical cancer is known for its slow progression, easy detection by cytology is one of the key modalities in the treatment protocol. The community should be made aware about the Pap screening test through different educational activities and efforts should be intensified for screening women at an earlier age.
Keywords: Cervical cancer, Pap smear, Inflammatory smear, LSIL.